§5-16-24a. Paper Transactions
The director may, by rule as authorized in section twenty-four of this article, establish a fee not to exceed $5 per transaction which the Public Employees Insurance Agency may charge to employers for performing business transactions with the agency by paper when the transaction could be performed electronically.
§5-16-25. Reserve Fund
Upon the effective date of this section, the finance board shall establish and maintain a reserve fund for the purposes of offsetting unanticipated claim losses in any fiscal year. Beginning with the fiscal year 2002 plan and for each succeeding fiscal year plan, the finance board shall maintain the actuarily recommended reserve in an amount […]
§5-16-26. Quarterly Report
By October 30, 1991, and on or before January 30, April, July and October of each year thereafter, the director shall prepare for the approval of the finance board, and thereafter present to the Joint Committee on Government and Finance a quarterly report setting forth: (a) A summary of the cost to the plan of […]
§5-16-28. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs
The provision requiring coverage for 12-month refill for contraceptive drugs codified at 33-58-1 of this code is made applicable to the provisions of this article.
§5-16-29. Limitation on Peia Participation
Notwithstanding any other provision of this article to the contrary, the director may not consider any employer eligible for participation in a plan except for the following: (1) All mandatory participants, including the State of West Virginia, its boards, agencies, commissions, departments, institutions, or spending units.
§5-16-23. Members of Legislature May Be Covered, if Cost of the Entire Coverage Is Paid by Such Members
Notwithstanding the definition of the term "employee" contained in section two of this article and notwithstanding any other provision of this article to the contrary, members of the Legislature may participate in and be covered by any insurance plan or plans authorized hereunder for state officers and employees, except that all members of the Legislature […]
§5-16-24. Rules for Administration of Article; Eligibility of Certain Retired Employees and Dependents of Deceased Members for Coverage; Employees on Medical Leave of Absence Entitled to Coverage; Life Insurance
The director shall promulgate any necessary rules for the effective administration of the provisions of this article. Except as specifically provided in subsection (e), section four of this article, all rules of the Public Employees Insurance Agency and all hearings held by the Public Employees Insurance Agency are exempt from the provisions of chapter twenty-nine-a […]
§5-16-11. To Whom Benefits Paid
Any benefits payable under any group hospital and surgical, group major medical and group prescription drug plan or plans may be paid either directly to the attending physician, hospital, medical group, or other person, firm, association or corporation furnishing the service upon which the claim is based, or to the insured upon presentation of valid […]
§5-16-12. Misrepresentation by Employer, Employee or Provider; Penalty
(a) It shall be a violation of this article for any person to: (1) Knowingly secure or attempt to secure benefits payable under this article to which they are not entitled;
§5-16-12a. Inspections; Violations and Penalties
(a) Employers and employees participating in any of the Public Employees Insurance Agency plans shall provide, to the director, upon request, all documentation reasonably required for the director to discharge the responsibilities under this article. This documentation includes, but is not limited to, employment or eligibility records sufficient to verify actual full-time employment and eligibility […]